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Research ArticleNew technology
Open Access

Cement leakage and filling pattern study of low viscous vertebroplastic versus high viscous confidence cement

Mohamed Habib, Hassan Serhan, Connie Marchek and Gamal Baroud
International Journal of Spine Surgery January 2010, 4 (1) 26-33; DOI: https://doi.org/10.1016/j.esas.2010.01.001
Mohamed Habib
aUniversite de Sherbrooke, Sherbrooke, Quebec, Canada
MSc
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Hassan Serhan
bDepuy Spine, Raynham, MA
PhD
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  • For correspondence: hserhan@its.jnj.co
Connie Marchek
bDepuy Spine, Raynham, MA
MSc
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Gamal Baroud
aUniversite de Sherbrooke, Sherbrooke, Quebec, Canada
PhD
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  • Article
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Article Figures & Data

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  • Fig. 1
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    Fig. 1

    Schematic drawing of the experimental setup showing the doubleconduit cannula, proximal port for pressure measurement, vertebra model, and the leakage path of 3-mm diameter.

  • Fig. 2
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    Fig. 2

    The leakage mass measured for the different systems examined; high-viscosity (C) and low-viscosity (V) regarding to the injection time after starting the mixing.

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    Fig. 3

    The leakage mass measured for the different systems examined; The 1st letter in the group's name (C) high-viscosity and (V) low-viscosity. the 2nd letter A, B, and C represent the groups regarding to their injection time. (A: 3.5 minutes; B: 6.5 minutes; C: 9.5 minutes after starting the mixing.)

  • Fig. 4
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    Fig. 4

    The effect of using Confidence or Vertebroplastic systems injected at different levels on the eccentricity of the filling pattern.

  • Fig. 5
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    Fig. 5

    The effect of using high- or low-viscosity systems injected at different levels on the center point shift of the filled pattern.

  • Fig. 6
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    Fig. 6

    The bars represent the filling patterns of the high and low viscosity cements after waiting 3.5 minutes; 6.5 minutes; and after 9.5 minutes.

  • Fig. 7
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    Fig. 7

    The variation of the intravertebral pressure with the cement leakage mass for the 2 systems used (C and V).

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    Fig. 8

    The variation of the intravertebral pressure with the cement leakage mass for the 2 systems used (C and V).

Tables

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    Table 1

    Summary of the eccentricity, center point shift of the filling pattern, and the leakage mass for all the samples tested

    SampleAmbient temperateAmbient humidityEccentricityStatisticsCenter point shift (mm)StatisticsLeaked Cement (g)StatisticsStrokes/turns to leakage
    V-a1 21260.93F = .8822,4.80F = 3.4745,5.05F = 8.0374,5
    V-b1 0.97 P = .43094.58 P = .05292.90 P = .00324
    V-c1 0.882.332.156
    V-a2 20.8260.962.774.353
    V-b2 0.904.701.643
    V-c2 0.913.994.474
    V-a3 21250.873.693.922
    V-b3 0.985.914.281
    V-c3 0.934.192.294
    V-a4 20.9230.966.135.125
    V-b4 0.924.573.048
    V-c4 0.902.852.882
    V-a5 20.8230.966.893.594
    V-b5 0.925.053.393
    V-c5 0.914.061.445
    V-a6 20.8370.944.984.213
    V-b6 0.913.804.752
    V-c6 0.882.561.354
    V-a7 20.9370.592.191.683
    V-b7 0.954.462.454
    V-c7 0.722.444.033
    C-a1 20.9320.82F = .0018,3.38F = .1772,2.05F = 1.0130,10
    C-b1 0.79 P = .96662.84 P = .68481.55 P = .343612
    C-a2 20.9320.905.693.257
    C-b2 0.883.101.128
    C-a3 20.9310.764.050.1815
    C-b3 0.763.670.0322
    C-a4 20.7300.631.650.9015
    C-b4 0.824.261.3310
    C-a5 21290.702.161.2512
    C-b5 0.531.190.6217
    • Abbreviations: C, high-viscosity system (repeats)V, low-viscosity system (repeats)a, injection stared after 3.5 minutes; b, injection started after 6.5 minutes; c, injection started after 9.5 minutes.

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    Table 2

    The variation of intra-vertebral pressure (IV) with the injection time

    Time (min)GroupIV pressure minimum (psi)IV pressure maximum (psi)IV pressure mean (psi)Standard deviation, IV pressure mean (psi)ANOVA results
    3.5 V-a0.110.650.520.33F = .44 P = .65
    6.5 V-b0.260.570.430.22
    9.5 V-c0.280.530.390.20
    3.5 C-a0.160.770.500.19F = .02 P = .89
    6.5 C-b0.280.820.520.22
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1 Jan 2010
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Cement leakage and filling pattern study of low viscous vertebroplastic versus high viscous confidence cement
Mohamed Habib, Hassan Serhan, Connie Marchek, Gamal Baroud
International Journal of Spine Surgery Jan 2010, 4 (1) 26-33; DOI: 10.1016/j.esas.2010.01.001

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Cement leakage and filling pattern study of low viscous vertebroplastic versus high viscous confidence cement
Mohamed Habib, Hassan Serhan, Connie Marchek, Gamal Baroud
International Journal of Spine Surgery Jan 2010, 4 (1) 26-33; DOI: 10.1016/j.esas.2010.01.001
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